Mercedes Jackson
Developmental Therapist in Worcester, MA. Individual provider (NPI-1).
NPI number1083149751
StatusActive
Last updated in NPPESMay 1, 2017
Details
- NPI
- 1083149751
- Entity type
- Individual (NPI-1)
- Name
- Mercedes Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2017
- Last updated
- May 1, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | – | Yes |
Practice location
345a Greenwood StreetSuite B
Worcester, MA 01607
Phone 508-363-0200
Mailing address
345a Greenwood StreetSuite B
Worcester, MA 01607
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All 738 Developmental Therapist providers in Worcester · All 14,792 providers in Worcester
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